Med Admin Test 1 Flashcards
Six rights
Patient Drug Dose Route Time Documentation
MARs
Medicine administration record
Three checks
Removing from the drawer
Pouring into cup
Returning container to drawer
Half time
Time interval required for body’s elimination process to reduce concentration of the drug to one half what it was at initial administration
Legal responsibilities
Know nursing practice acts in their area and operate within scope of practice. Recognize limits of knowledge and skill. Rely on current references. Proper use of controlled substances
Drug forms
Aerosol Aqueous solution Aqueous suspension Caplet Capsule Cream Elixir Extract Gel Liniment Lotion Lozenge Ointment Paste Pill Powder Suppository Syrup Tablet Tincture Transdermal Patch
Onset
The time after administration when the body initially responds to the drug
Side effects
(untoward effects) unintended drug action
Adverse effect
Severe side effects/drug reactions
Drug allergy
Immunologic reaction to drug.
Anaphylaxis-life threatening reaction to drug
Drug tolerance
Requires increased dosage to maintain therapeutic effect
Drug toxicity
Over dosage, ingestion of drug for external use
Cumulative effect
Build up of drug in blood because of impaired metabolism or excretion
Therapeutic effects
Reason drug prescribed
Drug interaction
Administration of one drug ayers effect o another drug
Nine routes
Oral (sublingual and buccal) Rectal Vaginal Topical/transdermal Subcutaneous Intramuscular Intradermal Intravenous Inhalation
Absorption
The process by which a drug passes into the bloodstream
Distribution
The process by which the drug is sent to various body tissue
Syringe
Tip
Barrel
Plunger
Needle
Bevel
Cannula/shaft
Hub
Angles for injections
Intramuscular-90 Subcutaneous-45 Intravenous-25 Intradermal-10-15 DEGREE
NGT and GT
For pt who is NPO
Has NG or GT in place
Medication absorbed enterally
Enteral
NGT and GT pts
Parentetal
Intradermal ID
Subcutaneous SQ/SC
Intramuscular IM
Intravenous IV
Ampule
Single dose glass container
1mL to 10 mL
Colored score markings for opening
Vial
Small glass bottle with sealed rubber cap
Single or multi dose
Metal or plastic cap to protect rubber seal
Z track
Stretching skin to one side and administering medication with needle
IM sites
Ventrogluteal preferred site
Supine
Prone or side lying
Vastus lateralis suitable for adults and children
Lateral
Anterior of the thigh
Dorsal gluteal potential for damage to sciatic nerve
Insulin syringe
Units
Scoop method
Lay cap on flat surface and scoop cap onto end of needle to prevent needle sticks
Sterile gloves
ear
Use sterile technique if the tympanic membrane is damaged or ruptured
Non sterile
Gloves should always be worn
Are IV meds ok in all states
No!!!
Last step of med administration o any nursing procedure
Documentation and PTA response
